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Diabetes Mellitus, Type 2NCT01092663

The Effects of Co-admin of Colesevelam and Sitagliptin on Glucose Metabolism in Subjects With Type 2 Diabetes Mellitus

A study testing Colesevelam HCl and Sitagliptin in people with Diabetes Mellitus, Type 2, run by KineMed at 3 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will assess the effects of colesevelam, alone or in combination with sitagliptin, on glucose metabolism in subjects with T2DM inadequately controlled by diet and exercise Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Diabetes Mellitus, Type 2
What is being tested?
Colesevelam HCl and Sitagliptin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
61 participants
Where
3 sitesUnited States
Study dates
Mar 2010to Jul 2011
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or Female
  • Females of childbearing potential are on approved birth control method
  • Negative pregnancy testing for females of childbearing potential
  • Previously diagnosed or newly diagnosed with T2DM drug naïve subjects
  • HbA1c: 6.7-10%
  • Age 18 - 80 years
Show all 12Show fewer
  • BMI ≥ 18.5 kg/m2 and ≤ 40 kg/m2
  • Fasting serum glucose < 300 mg/dL
  • Normal liver function, normal thyroid function, no history of liver, biliary or intestinal disease
  • Normal TSH
  • On stable diet and exercise routine for at least 4 weeks prior to screening
  • Has had a stable weight (+/-5%) for ≥3 months before screening

Who cannot join

  • A history of type 1 diabetes mellitus or history of diabetic ketoacidosis
  • History of chronic (required daily for > 2 months) use of insulin therapy
  • Treatment with blood pressure lowering therapy that has not been stable for three months before screening
  • Treatment with lipid lowering medication other than statins
  • Treatment with statins that has not been stable for three months before screening
  • Treatment with a DPP-4 inhibitor or and GLP1 agonists at any time
Show all 16Show fewer
  • Treatment with a thiazolidinedione (TZD) within the last 6 months of screening
  • History of an allergic or toxic reaction to sitagliptin or colesevelam
  • History of dysphagia, swallowing disorders, bowel obstruction, intestinal motility disorder, and gastrointestinal disorders
  • History of major gastrointestinal surgery
  • History of kidney problems
  • Fasting plasma triglycerides > 300 mg/dL
  • Serum LDL-C <60 mg/dL
  • Positive toxicology test
  • Known hypersensitivity to colesevelam HCl or sitagliptin.
  • Any contraindications to a study medication (colesevelam HCl or sitagliptin).

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • Clinical Pharmacology of Miami

    Miami, Florida, 33014

  • Healthcare Discoveries, LLC d/b/a ICON Development Solutions

    San Antonio, Texas, 78209

  • University of California, San Francisco

    San Francisco, California, 94110

Other trials in United States

About this study

Official title: The Effects of Co-administration of Colesevelam and Sitagliptin on Glucose Metabolism in Patients With Type 2 Diabetes

This study will assess the effects of colesevelam, alone or in combination with sitagliptin, on glucose metabolism in subjects with T2DM inadequately controlled by diet and exercise

Read the detailed description

The hypothesis is that co-administrationof colesevelam plus sitagliptin results in a greater reduction in HbA1c compared to colesevelam HCl treatment by

  1. improving the effects of colesevelam on fasting glucose metabolism
  2. improving the effects of colsevelam on postprandial glucose metabolism
Being tested
Colesevelam HCl, Sitagliptin
Keywords
Colesevelam, type 2 diabetes, sitagliptin, glucose metabolism
Medical subject headings
Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Colesevelam HClDrug

    Also called Welchol

    Subjects will be given 3.75 g/day. Subjects will be given 3 tablets (625mg each) with breakfast and 3 tablets (625mg) with dinner for 12 weeks.

  • SitagliptinDrug

    Also called Januvia

    Subjects will be given 100mg/day. Subjects will be given 1 tablet (100mg) with breakfast for 12 weeks.

Study groups in NCT01092663
Study groupRoleWhat they receive
Colesevelam HCl: 3 tablets, 2x/dayActive comparatorSubjects will be given 3.75 g/day. Subjects will be given 3 tablets (625mg each) with breakfast and 3 tablets (625mg) with dinner for 12 weeks.
Receives: Drug: Colesevelam HCl
Colesevelam plus SitagliptinActive comparatorColesevelam: Subjects will be given 3.75 g/day. Subjects will be given 3 tablets (625mg each) with breakfast and 3 tablets (625mg) with dinner for 12 weeks. Sitagliptin: Subjects will be given 100mg/day. Subjects will be given 1 tablet (100mg) with breakfast for 12 weeks.
Receives: Drug: Colesevelam HCl; Drug: Sitagliptin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Hemoglobin A1C

    Change from baseline in hemoglobin A1C after 12 weeks of colesevelam or colesevelam plus sitagliptin treatments

    Measured: Baseline and 12 weeks

  2. Fasting Plasma Glucose

    Change from baseline in fasting plasma glucose concentrations after 12 weeks of colesevelam or colesevelam plus sitagliptin treatments.

    Measured: Baseline and 12 weeks

  3. Fasting Endogenous Glucose Production

    Change from baseline in fasting endogenous glucose production after 12 weeks of colesevelam alone or colesevelam plus sitagliptin treatment

    Measured: baseline and 12 weeks

  4. Fasting Gluconeogenesis

    Change from baseline in fasting gluconeogenesis after 12 weeks of colesevelam alone or colesevelam plus sitagliptin treatment

    Measured: baseline and 12 weeks

  5. Fasting Glycogenolysis

    Change from baseline in fasting glycogenolysis after 12 weeks of colesevelam alone or colesevelam plus sitagliptin treatment

    Measured: baseline and 12 weeks

  6. Fasting Plasma Glucose Clearance

    Change from baseline in fasting plasma glucose clearance after 12 weeks of colesevelam alone or colesevelam plus sitagliptin treatments.

    Measured: baseline and 12 weeks

  7. Appearance Rate of Oral Glucose

    Change from baseline in appearance rate of oral glucose after 12 weeks of colesevelam alone or colesevelam plus sitagliptin treatments

    Measured: baseline and 12 weeks

  8. Postprandial Endogenous Glucose Production

    Change from baseline in postprandial endogenous glucose production after 12 weeks of colesevelam alone or colesevelam plus sitagliptin treatments

    Mean value was calculated using all results measured between 10 and 300 min post meal.

    Measured: baseline and 12 weeks

  9. Postprandial Rate of Total Glucose Disposal Area Under the Curve (AUC)

    Change from baseline in postprandial rate of total glucose disposal (AUC) after 12 weeks of colesevelam alone or colesevelam plus sitagliptin treatments

    AUC was calculated by the trapezoid method using all results measured between 0 and 300 min during the meal tolerance test.

    Measured: baseline and 12 weeks

  10. Whole-body Glycolytic Disposal of Oral Glucose

    Change in baseline in whole-body glycolytic disposal of oral glucose after 12 weeks of colesevelam alone or colesevelam plus glucose treatments

    Measured: baseline and 12 weeks

  11. Postprandial Glucose (AUC)

    Comparison between baseline and 12 weeks values of postrandial glucose (AUC).

    Measured: Baseline and 12 weeks

Secondary outcomes (10)
  1. Fasting Plasma C-peptide

    To evaluate the effect of treatments on plamsa C-peptide concentrations.

    Measured: Baseline and 12 weeks

  2. Fasting Plamsa Glucagon

    To evaluate the effect of treatments on plasma glucagon concentrations.

    Measured: Baseline and 12 weeks

  3. Fasting Active Plasma Glucagon Like-Peptide 1 (GLP-1)

    To evaluate the effect of treatments on plasma GLP-1 concentrations.

    Measured: Baseline and 12 weeks

  4. Fasting Plasma Total Glucose-dependent Insulinotropic Peptide (GIP)

    To evaluate the effect of treatments on plasma Glucose-dependent Insulinotropic Peptide (GIP) concentrations.

    Measured: Baseline and 12 weeks

  5. Fasting Insulin

    To evaluate the effect of treatments on fasting insulin concentrations

    Measured: Baseline and 12 weeks

  6. Postprandial Insulin (AUC)

    To evaluate the effect of treatments on postprandial insulin (AUC)

    Measured: Baseline and 12 weeks

  7. Postprandial C-peptide (AUC)

    To evaluate the effect of treatments on postprandial C-peptide (AUC)

    Measured: Baseline and 12 weeks

  8. Postprandial Active GLP-1 (AUC)

    To evaluate the effects of treatments on postprandial active GLP-1 (AUC)

    Measured: Baseline and 12 weeks

  9. Postprandial Total GIP (AUC)

    To evaluate the effects of treatment on postprandial total GIP (AUC)

    Measured: Baseline and 12 weeks

  10. Postprandial Glucagon (AUC)

    To evaluate the effects of treatment on postprandial glucagon (AUC)

    Measured: Baseline and 12 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Mar 2010 (estimated)
  2. Study startMar 2010
  3. Primary completionJul 2011
  4. Study completionJul 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
61 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01092663
Sponsor's protocol ID
KM-29
Status last verified
Jan 2013
First submitted
23 Mar 2010
Last updated
17 Jan 2013
Data monitoring committee
Yes

Publications

  • Zieve FJ, Kalin MF, Schwartz SL, Jones MR, Bailey WL. Results of the glucose-lowering effect of WelChol study (GLOWS): a randomized, double-blind, placebo-controlled pilot study evaluating the effect of colesevelam hydrochloride on glycemic control in subjects with type 2 diabetes. Clin Ther. 2007 Jan;29(1):74-83. doi: 10.1016/j.clinthera.2007.01.003.

    PubMed 17379048
  • Bays HE, Goldberg RB, Truitt KE, Jones MR. Colesevelam hydrochloride therapy in patients with type 2 diabetes mellitus treated with metformin: glucose and lipid effects. Arch Intern Med. 2008 Oct 13;168(18):1975-83. doi: 10.1001/archinte.168.18.1975.

    PubMed 18852398
  • Fonseca VA, Rosenstock J, Wang AC, Truitt KE, Jones MR. Colesevelam HCl improves glycemic control and reduces LDL cholesterol in patients with inadequately controlled type 2 diabetes on sulfonylurea-based therapy. Diabetes Care. 2008 Aug;31(8):1479-84. doi: 10.2337/dc08-0283. Epub 2008 May 5.

    PubMed 18458145
  • Goldberg RB, Fonseca VA, Truitt KE, Jones MR. Efficacy and safety of colesevelam in patients with type 2 diabetes mellitus and inadequate glycemic control receiving insulin-based therapy. Arch Intern Med. 2008 Jul 28;168(14):1531-40. doi: 10.1001/archinte.168.14.1531.

    PubMed 18663165
  • Aschner P, Kipnes MS, Lunceford JK, Sanchez M, Mickel C, Williams-Herman DE; Sitagliptin Study 021 Group. Effect of the dipeptidyl peptidase-4 inhibitor sitagliptin as monotherapy on glycemic control in patients with type 2 diabetes. Diabetes Care. 2006 Dec;29(12):2632-7. doi: 10.2337/dc06-0703.

    PubMed 17130196
  • Nauck MA, Meininger G, Sheng D, Terranella L, Stein PP; Sitagliptin Study 024 Group. Efficacy and safety of the dipeptidyl peptidase-4 inhibitor, sitagliptin, compared with the sulfonylurea, glipizide, in patients with type 2 diabetes inadequately controlled on metformin alone: a randomized, double-blind, non-inferiority trial. Diabetes Obes Metab. 2007 Mar;9(2):194-205. doi: 10.1111/j.1463-1326.2006.00704.x.

    PubMed 17300595
  • Goldstein BJ, Feinglos MN, Lunceford JK, Johnson J, Williams-Herman DE; Sitagliptin 036 Study Group. Effect of initial combination therapy with sitagliptin, a dipeptidyl peptidase-4 inhibitor, and metformin on glycemic control in patients with type 2 diabetes. Diabetes Care. 2007 Aug;30(8):1979-87. doi: 10.2337/dc07-0627. Epub 2007 May 7.

    PubMed 17485570

Questions about this trial

What is this clinical trial studying?

A study testing Colesevelam HCl and Sitagliptin in people with Diabetes Mellitus, Type 2, run by KineMed at 3 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Jan 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 17 Jan 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Hemoglobin A1C (time frame: Baseline and 12 weeks). The study lists 11 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01092663, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Jan 2013.

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Clinical Trial NCT01092663 | AzTrials